Divett, Suzanne
Divett, Suzanne is an sole proprietor health care provider with primary practice located at 4101 Montreal Loop Ne , Rio Rancho NM 87144-8455. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Divett, Suzanne can be contacted via phone (505) 867-0711.Contact Information
Primary practice address
4101 Montreal Loop Ne
Rio Rancho NM 87144-8455
Phone: (505) 867-0711
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | New Mexico |
Profile Details
| NPI number | 1629267927 |
|---|---|
| LBN Legal business name | Divett, Suzanne |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 23rd, 2007 |
| Last updated | Aug 28th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629267927 | NPPES |
| New Mexico | MEDICAID | 30752060 |
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